Jackson, Melissa T

Jackson, Melissa T is an individual health care provider with primary practice located at 11035 Ne Sandy Blvd , Portland OR 97220-2553. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Jackson, Melissa T can be contacted via phone (503) 736-6699.

Contact Information

Primary practice address
11035 Ne Sandy Blvd Portland OR 97220-2553
Phone: (503) 736-6699
Fax: (503) 256-9601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1730424144
LBN Legal business name Jackson, Melissa T
Credentials MS HUMAN SERVICES
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2012
Last updated May 2nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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